West Gordon Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

9221852-1703 Issued in UT

Legal business name

WEST GORDON PHARMACY INC

Doing business as

West Gordon Pharmacy

Practice address

3225 W Gordon Ave Ste 2
Layton, UT 84041-5728

Phone

(801) 544-7979

Fax

(801) 682-8011

NPI assigned

Nov 6, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Burnett

Title

Secretary

Phone

(435) 512-2102

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• West Gordon Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1528464336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 W GORDON AVE STE 2",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840415728",
            "telephone_number": "801-544-7979",
            "fax_number": "801-682-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 W GORDON AVE STE 2",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840415728",
            "telephone_number": "801-544-7979",
            "fax_number": "801-682-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST GORDON PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "435-512-2102"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "UT",
            "license": "9221852-1703",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2149549",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528464336",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Gordon Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Gordon Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Spencer Lanier Welch
• Andrea Welling, NCC, BC-DMT, CMHC
• Danica Welling
• Olivia Bailey Welsh, RBT
• Sophie Weppner
• Karen West-Ellis, APRN
• Judith Ann West, RN
• Mark Deven West, LCSW
• Misty West
• Alex Westergard

• Community/Retail Pharmacy in Layton, UT
• Providers in Layton, UT by specialty
• Community/Retail Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.